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The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 740-743, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
F Robicsek, DA Riopel and LK Robicsek
Brief case histories of three patients who underwent cavopulmonary
anastomosis 28, 27, and 26 years ago, respectively, are presented. From
this limited sample the following conclusions may be drawn. (1) Long- term
survival with good functional results in patients with complex congenital
anomalies who undergo cavopulmonary shunting at an early age is possible.
(2) Secondary changes in the circulation of the right lung such as
underperfusion of the upper lobe and the development of multiple
arteriovenous connections in the lower lobe do occur, maybe more often than
appreciated. (3) By 15 to 20 years after their initial operation, most of
these patients require additional operations such as systemic-pulmonary
artery shunt or, if possible, total repair of their underlying anomaly.
ARTICLES
Long-term results after cavopulmonary anastomosis
Department of Thoracic, Cardiac and Vascular Surgery, Carolinas Heart Institute, Charlotte, NC.
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